MICHELLE DOMINIQUE DE SANTO (NPI# 1104194299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104194299 |
| Entity Type | Individual |
| Full Name | MICHELLE DOMINIQUE DE SANTO |
| Credential | D.O. |
| Practice Address |
1001 S Garfield Ave Alhambra CA 91801-4772 |
| Practice Telephone | 8187884513 |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2012-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 20A12005 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | OSTEOPATHIC MEDICAL BOARD OF CALIFORNIA | 20A12005 | 01 |
| Street Address |
1001 S GARFIELD AVE |
| City | ALHAMBRA |
| State | CA |
| Zip Code | 91801-4772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720452154 | Chan United Medical Group, Inc | General Practice | 1001 S Garfield Ave, Alhambra, CA 91801-4772 | 2015-11-23 |
| 1386070746 | Physician Network Specialists | Internal Medicine | 1001 S Garfield Ave, Alhambra, CA 91801-4772 | 2013-09-17 |
| 1669724514 | Gericare Medical Group | Internal Medicine | 1001 S Garfield Ave, Alhambra, CA 91801-4772 | 2012-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205047 | Fariborz Rodef Dental Corporation | Dentist | 233 South Fremont Ave, Alhambra, CA 91801 | 2020-04-28 |
| 1336650407 | Natalia Ayelen Park | Counselor | 423 S Monterey St, Alhambra, CA 91801 | 2017-10-17 |
| 1427577253 | Thomas John Andre | Physical Therapist | 927 N Bushnell Ave, Alhambra, CA 91801 | 2017-09-13 |
| 1902323173 | Aba Effects, LLC | Behavioral Analyst | 41 N Garfield Ave Ste 207, Alhambra, CA 91801 | 2017-08-28 |
| 1083134548 | Yulan Wang | Acupuncturist | 20 Hampton Ct., Alhambra, CA 91801 | 2017-06-26 |
| 1285175877 | Lac Usc Medical Center | General Acute Care Hospital | 504 N 2nd St, Apt B, Alhambra, CA 91801 | 2017-03-15 |
| 1679015432 | Eric Wong Chiropractic, PC | Acupuncturist | 723 S. Garfield Ave, Suite 202, Alhambra, CA 91801 | 2016-11-10 |
| 1255794012 | Andrew C Lo | Physical Therapist | 89 E Commonwealth Ave, Unit 1e, Alhambra, CA 91801 | 2016-03-30 |
| 1902291610 | Wai-mei Wong | Dietitian, Registered | 100 S. Raymond Avenue, Alhambra, CA 91801 | 2015-03-30 |
| 1316337884 | Thera Med Rehabilitation Inc. | Case Management | 600 W Main St, #107, Alhambra, CA 91801 | 2015-02-04 |
| Find all providers in zip 91801 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740625813 | Jonathan Yun-hong Wu | General Practice | 55 S Raymond Ave Ste 105, Alhambra, CA 91801-7101 | 2013-05-02 |
| 1568717346 | Winfred John Lee | General Practice | 88 E Bay State St, 1-n, Alhambra, CA 91801-6820 | 2012-07-18 |
| 1295720050 | Prasert Basil Vassantachart | General Practice | 841 W Valley Blvd, Suite 104, Alhambra, CA 91803-3251 | 2005-09-16 |
| 1922589670 | Cheng Luo | General Practice | 4225 Tweedy Blvd, Alhambra, CA 91803 | 2018-08-21 |
| 1720452154 | Chan United Medical Group, Inc | General Practice | 1001 S Garfield Ave, Alhambra, CA 91801-4772 | 2015-11-23 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.